Background: Today, a patient finally settled down. In the past few months, he has been struggling to find the chrysanthemum itch that has not been cured repeatedly. I hope this is the last stop!
But the actual itch is not that itch, it is not ordinary hemorrhoids, nor is it common eczema.
But a little bit inside the asshole (anal tube) has a little fleshy (wart-like)!
At first, it was just a little itchy. I thought he had hemorrhoids, so I bought "hemorrhoid cream" in the pharmacy, but the more it was applied, the more itching became;
After using it for a few days, it was really itchy and uncomfortable. I went to a nearby hospital. The doctor said it was eczema. Just use some ointment. The result is still itchy and I always want to scratch;
In fact, the patient did not get hemorrhoids or eczema! But condyloma acuminatum in the anal canal!
Condyloma acuminatum in the anal canal is only perianal itching in the early stage, and the diagnosis can only be confirmed after the anal mass grows into a warty mass in the later stage;
Acetic acid white test is common in diagnosis, but most experienced doctors can make a clinical diagnosis at a glance;
Causes: Most of them are sexually transmitted diseases, especially those with a history of anal sex;
Treatment difficulties: relapse!
Many clinical dermatologists in other hospitals still have repeated attacks after repeated photodynamic procedures. Most of the reasons are that the tiny verrucous masses in the anal canal are not completely cleaned up;
It is not that the dermatologist is careless and careless, but is worried that overtreatment will lead to narrowing of the anal canal, which will seriously affect defecation;
How to do?
Adequate evaluation before surgery is not the overlord’s hard bowing. Acetate white is not only a diagnosis, but also a demon mirror! Especially in the anus, adequate exposure can greatly reduce the recurrence rate!
Pay attention to keeping the normal skin of warts. The vitality of the skin of the anal canal is very strong. Even a bit of skin the size of a toothpick can hold up a piece of skin during the later healing process, which can largely avoid postoperative anal stenosis;
The treatment of warts needs to be enlarged, the width and depth are wider and deeper than other benign tumors, but the structure of the anal canal should be protected well for the sphincter (you can use dyeing to make the wart bulge to facilitate the free removal of the wart);
Measures to improve immunity to prevent recurrence is basically a consensus in the industry:
But it needs to be explained that the course of treatment should be enough! Otherwise it's no use!
Secondly, there is a small reminder for the use of interferon. For lesions in the anal canal, postoperative wounds should be used locally, and the use should be doubled for the first three weeks after the operation, twice a week. Once a week for the next three weeks;
In addition to the routine "anti-inflammatory" ointment, it is recommended to combine the motherland's prescriptions and traditional Chinese medicine with the retention enema to reduce the recurrence rate of the anal canal.